| NPI | 1831379940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN073501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN073501NP) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2023-05-03 |